Bioidential Hormones Frequently Asked Questions

What are Bioidentical Hormones?

Bioidentical hormones are precise duplicates of the body’s own hormones. Taking these hormones is adding something that the body already recognises and knows how to metabolise. Conversely, conventional HRT usually includes hormone-like drugs that are not identical in structure do the body’s own, such as conjugated equine oestrogens or synthetic progestins. As well as binding to hormone receptors, these hormone-like drugs may bind to other receptors, causing unwanted side effects.

Bioidentical hormones may be prescribed in licensed standardised dose products, or unlicensed individually tailored doses to meet the individual’s needs, using a compounding pharmacy. All our patients have regular monitoring including breast screening, pelvic ultrasound screening and blood tests. Options will be discussed on an ongoing basis and the final decision of what feels right for you is always yours.

Will you advise me on nutrition and supplements?

Yes. Stress, diet, lifestyle, environmental toxins and genetics can all play their part in creating hormone imbalance. We believe in the principles of eating well, moving well and sleeping well, and this will always be included in the treatment plan.

During your consultations with Dr Arasu, she may also recommend relevant functional medicine tests, if there is a need to explore your symptoms further.

Our Registered Nutritional Therapist, Catherine, offers personalised nutrition consultations. These take place at her clinic in Maida Vale, at your home or online via Zoom.

We offer the metabolic balance programme, which is an excellent health focused weight loss programme that focuses on resetting the body’s metabolism.

How long do I stay on bioidentical hormones?

We will decide this issue with each patient individually. Circumstances may differ depending on age, symptoms and lifestyle factors.

What about tests?

We test hormone levels before prescribing and on an ongoing basis. The hormone testing that we do is not available on the NHS and please understand that we therefore will not ask the NHS to carry this out. If you have had blood tests done recently with your NHS GP please bring all recent/relevant test results with you to your appointment.

Blood tests or urine tests for hormones may be done when your symptoms have changed.

How long does it take to notice a difference?

Often when we start treatment, people will notice a difference within the first three weeks but give it up to 8 weeks – this is when we meet to review. However, sometimes it can take longer, in which case we will work closely with you  to get the balance right.

I missed a few doses of hormones. What should I do?

Continue taking your hormones as you normally would. There is no need to take extra to compensate for the missed dose.

Do I need a referral from my GP?

No. A referral from your GP is not necessary. It is important that you are registered with an NHS GP though and London Bioidentical Hormones is always happy to write to your GP at any stage.

Which symptoms may this help with?

Treatment may help with the following symptoms:

Hot flushes
Mood disorders
Menstrual problems
Low libido
Muscle loss
Brain fog
Joint aches
Hair loss
Erectile dysfunction

If you have a problem that is not on this list and wonder if we can help, please contact us.

Yes. We ask that initial appointments are in person. Follow up scans be conducted via telephone or Facetime or Skype, however, we believe that every patient should be seen in person at least once per year as face-to-face appointments offer a much better service for you. Please see the Treatment Schedule for an idea of how often we expect to have appointments.

If you have any impairments, such as a hearing impairment or mobility issues, please give us as much notice as possible, so that we can anticipate any issues and ensure appropriate arrangements are made.

If you have a query please contact us or email and we will do our best to assist you.  However, medical queries will usually require either an appointment or, if you have been seen very recently, a call-back service, which the receptionists will arrange with you and which will cost £20.

Please be aware that we are unable to offer any medical advice before you have had a consultation.

London Bioidentical Hormones counts as a private general practice service. Bearing this in mind, please check with your insurer if you would be covered.

Please note that you would need to pay London Bioidentical Hormones in full and claim back the cost from your insurer.

We welcome all feedback from service users, whether it be positive or negative. We feel strongly that opinions expressed about our service are a valuable learning opportunity for us as a service provider.

Please contact us directly by e-mail on if you have any complaints regarding any aspect of our service and the manager will respond to your email in 2 working days and we will resolve it as soon as possible and keep you updated in the process.

Want to Learn More?

To book an appointment please get in touch.

Get Back to Yourself

with individualised bioidentical hormones

At London Bioidentical Hormones, our mission is to get patients back to their best selves. We specialise in treating a variety of hormonal imbalances with bioidentical hormones and a holistic, functional medicine approach. We also offer Nutritional Therapy consultations and the excellent Metabolic Balance® weight loss programme.


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